Title: Management of a Post-Traumatic Vulvar Hematoma: A Case Report
Authors: M. Sekkat, M.B. Idrissi, N. Douzi, N. Mamouni, S. Errarhay, C. Bouchikhi, A. Banani.
Volume: 10
Issue: 1
Pages: 20-22
Publication Date: 2026/01/28
Abstract:
Vulvar hematomas are uncommon outside the obstetric setting, and large post-traumatic hematomas can pose significant clinical challenges. Rapid diagnosis and appropriate management are crucial to prevent complications.We report the case of a 32-year-old woman who sustained a large vulvar hematoma following a straddle-type fall onto a chair. On examination, she was hemodynamically stable, but local swelling and a laceration of the left labia majora were noted. Pelvic CT angiography revealed a 73.3 mL hyperdense hematoma without active contrast extravasation. The patient underwent prompt surgical evacuation of the hematoma. Postoperative recovery was uneventful, with complete restoration of vulvar anatomy and no long-term complications after 10 months of follow-up. Non-obstetric post-traumatic vulvar hematomas, although rare, can rapidly progress and require timely surgical intervention when large or symptomatic. Early recognition, imaging evaluation, and prompt management are key to achieving favorable outcomes and preventing functional or aesthetic sequelae.